From compression to cure: aberrant right subclavian artery reimplantation for dysphagia lusoria

Dysphagia lusoria is a rare cause of oesophageal compression due to an aberrant right subclavian artery (ARSA) coursing posterior to the oesophagus. Symptomatic patients may require surgical correction. We describe the surgical technique of resecting and reimplanting the ARSA as a cure for dysphagia lusoria. The patient presented with choking attacks and dysphagia. Echocardiography revealed ARSA. Barium swallow and computed tomography angiography then confirmed ARSA-related oesophageal compression. Surgical treatment involved division of the aberrant vessel at its aortic origin followed by reimplantation to the right common carotid artery, relieving compression while preserving upper limb perfusion. The procedure was uncomplicated, with complete post-operative resolution of dysphagia. ARSA reimplantation provides a safe and durable solution for symptomatic dysphagia lusoria.